Basic medication counselling

Question 1

ATHLETICS ramipril

Answer 1

A- stops particular type of protein that is involved in high BP

T- OD

H- tablet before bed (avoid postural hypo)

L- long-term

E- a week to see improvements

T- U&Es –> test kidney function before starting

I- dry cough, 1st dose hypotension, high potassium

C- AKI // preg/BF

S- check BP regularly

Question 2

ATHLETICS levothyroxine

Answer 2

A- thyroxine replacement (metabolism enzyme)

T- OD

H- 30 mins before breakfast

L- lifelong

E- may take several weeks

T- TFT: 3wks –> 3-monthly –> annually once stable

I- ++levo: too hot; tremor; weight loss
–levo: too cold; constipation, weight gain

C- don’t take 2 a day // seek med attention if HR change